Photograph or Video Release Form
To: Parents, guardians or age of majority students
In compliance with federal and state regulations your permission is sought to allow your
son/daughter/self to appear in photographs and/or video tapes which may be taken in school. It
is understood that these materials will be used only for educational purposes and students
involved will not be identified in any manner.
For student 18 years of age or older:
Signature ________________________________________________ Date ________
If student is under 18, parent or guardian signature:
Student’s Name ___________________________________________ Date ________
Parent/Guardian Signature ___________________________________Date ________
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Photograph or Video Release Form
To: Parents, guardians or age of majority students
In compliance with federal and state regulations your permission is sought to allow your
son/daughter/self to appear in photographs and/or video tapes which may be taken in school. It
is understood that these materials will be used only for educational purposes and students
involved will not be identified in any manner.
For student 18 years of age or older:
Signature ________________________________________________ Date ________
If student is under 18, parent or guardian signature:
Student’s Name ___________________________________________ Date ________
Parent/Guardian Signature ___________________________________Date ________